Enter your previous address information

Additional information

If you need more space to provide us with additional rental history or information, please enter that below. Be sure to include important information like location address, contact points, phone numbers and rent history.

Have you or your spouse lived in any states other than those listed above in the last 10 years?*

Yes

No

List states*

Have you or your spouse ever been evicted, received a notice to leave the rental property, or received a 3-Day notice to leave pursuant to the Ohio Revised Code Section 1923.04?*

Emergency contacts

Vehicle Information

Total number of vehicles to be parked at residence*

Year

Make & Model

Color

License Plate Number

Year

Make & Model

Color

License Plate Number

Year

Make & Model

Color

License Plate Number

Additional information

Have you or your spouse ever been convicted of, pleaded guilty or no contest to any criminal offense(s) (other than minor traffic violations) or had any criminal offense(s) disposed of other than by an acquittal or a finding of "not guilty"?*

Yes

No

Do you or your spouse have any charges pending against you for any criminal offense(s)?*

Applicant Authorization

1. Lessor relies on the information provided above to be complete and accurate in order to process your application in a timely manner. Any false statements, misrepresentations, inaccurate information or failure to supply information requested may cause your application to be rejected or may be grounds for an eviction action if later discovered.

2. By signing the application, I/we authorize the use of any credit reporting/screening agencies to verify credit and validate the accuracy of all information provided. Further, my/our signature below authorizes Lessor and any credit reporting/screening agencies to later exchange information and access my/our credit report in the event of default of the lease agreement or for collection or skip tracing purposes.

3. I/we understand Lessor may/will require a partial / full security deposit. I/we understand that the Lessor will require a non-refundable screening fee. I/we understand that the Lessor will contact me to make arrangements for these fees upon submission of this form.

I/we understand that the security deposit will be retained by the Lessor if this application is approved and I/we are unable to fulfill the conditions of occupancy. I/we acknowledge that the Lessor will suffer damages as a result of the processing of this application and holding a specific unit off the market. The deposit will be returned if this application is not approved, providing that all information is provided correctly and truthfully. In addition, I/we understand that should we be offered a waived application fee as part of a rental special or the preferred employer program and my/our application is declined or if we fail to fulfill the conditions of occupancy the application fee(s) will be charged and deducted from the security deposit.

4. I/we warrant that all of the representations in this application are true and correct. I/we also understand that information provided on this application shall survive approval of this application and execution of a lease agreement.

5. I/we understand that the occupancy of the apartment is limited to persons identified on this application. I remain responsible for all occupants, guests, and invitees to my apartment.

7. I/we understand that all non-residents of the United States may also be required complete an additional application supplement in order to process my/our application.

In compliance with the Fair Credit Reporting Act, I/we understand that a consumer credit report will be made which may include information as to my character, general reputation, personal characteristics and mode of living. The nature and scope of the investigation requested may include information obtained through personal interviews concerning resident verification, marital status, number of dependents, employment, occupation, habits, and reputation.

The term "Lessor" shall include the Owner-Landlord and Scioto Management Company, LLC. As managing agent and any affiliate, agent or employee thereof.

Broadway Station Apartments requires that you certify your application by submitting an electronic signature. To certify your application and to confirm your consent for us to use the information you supplied on the 5 pages of this "Online Rental Application" read the text below and provide an electronic signature (type your name in the field provided) and then select Confirm Signature below.

I certify that all of the information in my application is accurate and true. I have read the information on this page and understand that my information will be used as described above.

Electronic Signature*

First NameMiddleLast Name

Please provide your full name in the fields above.

*

Confirm signature

Please confirm that we may contact you via:*

Email

Phone

Mail

We need a way to respond to your application. Please choose at least one option above.